Individual provider Active NPI

Tae-Young J. Choi, L.AC

  • Acupuncturist
  • Kenilworth, NJ
National Provider Identifier
1346362332
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00037600 Issued in NJ
Practice address
400 Swenson Dr
Kenilworth, NJ 07033-1323
Phone
(908) 930-2678
Fax
(732) 482-1731
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00037600 NJ Primary

Addresses

Primary practice location

400 Swenson Dr
Kenilworth, NJ 07033-1323

Mailing address

62 Central Ave
Metuchen, NJ 08840-1867
Phone (908) 930-2678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25MZ00037600NJMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Comfort Cana Acupuncture LLC Acupuncturist CurrentSince Jan 12, 2020 Accepting new patients

Locations

400 Swenson Dr
Kenilworth, NJ 07033
Phone (732) 850-2458

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1346362332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 CENTRAL AVE",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088401867",
            "telephone_number": "908-930-2678",
            "fax_number": "732-482-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SWENSON DR",
            "city": "KENILWORTH",
            "state": "NJ",
            "postal_code": "070331323",
            "telephone_number": "908-930-2678",
            "fax_number": "732-482-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "TAE-YOUNG",
        "middle_name": "J.",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00037600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenilworth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.